PubMed Journal Database | Acta paediatrica (Oslo, Norway : 1992) 
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Showing PubMed Articles 1–25 of 159 from Acta paediatrica (Oslo, Norway : 1992)
Clinical dehydration and glomerular filtration rate in acute paediatric gastroenteritis.
AIM: To evaluate changes in glomerular filtration rate in acute gastroenteritis. METHODS: The correlation between two clinical diagnostic scales and glomerular filtration rate has been investigated in 113 children with acute gastroenteritis in a paediatric emergency setting. RESULTS: A significant reduction of GFR was found in 10% children less than, and 5% children higher than, 2 years of age with acute gastroenteritis. CONCLUSION: The differences observed as for risk of renal hypoperfusion suggests to co...
Why are there delays in seeking treatment for childhood diarrhoea in India?
AIM: To examine the barriers and facilitating factors for seeking treatment for childhood diarrhoea and to determine the main causes for delay in seeking treatment. METHODS: Data from Indian Demographic and Health survey 2005-06 (NFHS-III) was used. Mothers were asked if their children (
Research in neonatology: A global perspective.
Sanghvi and colleagues demonstrated the feasibility of initiating exclusive enteral feeds from first day of life in stable infants with birth weight between 1200 and 1500 g[1]. This regimen led to twice as faster regaining of birth weight and halved duration of hospital stay. Of note, no unwanted side effects - most importantly necrotising enterocolitis (NEC) - was noted [1]. This article is protected by copyright. All rights reserved.
Can the Retinal Microvasculature offer Clues to Cardiovascular Risk Factors in Early Life?
Adulthood cardiovascular diseases (CVD) burdening in adulthood have been suggested to have possible predisposition early in life. We aimed to systematically review the literatures on retinal microvasculature among pediatric population in relation to a range of environmental and systemic changes. Papers with quantitative retinal vascular assessment and epidemiological design were reviewed. Conclusion This review supports the theory that major vascular diseases has pathological predisposition early in life by...
Yes, we can - achieve adequate early postnatal growth in very preterm infants.
We compliment Christman and coworkers on their interesting work on early postnatal growth of preterm infants under different nutritional strategies. The authors concluded that "aggressive" enteral nutrition is well tolerated by very preterm infants but is not sufficient for adequate postnatal growth (1). In contrast to Christman et al., we demonstrated recently that that the majority of very low birth weight (VLBW) infants remained, within or regained, their growth trajectory for weight until discharge fol...
Abducens palsy as a clue of unexpected contralateral cerebral sinovenous thrombosis.
Intracranial complications of acute and chronic otitis media can be difficult to recognize, as signs and symptoms are often subtle and variable across different age groups. In March, 2012, a 10-year-old boy was hospitalized due to a 10-day history of horizontal double vision from the right eye, which worsened when looking towards the right side, initially neglected by his practitioner; in addition, a recurrent left-sided otitis media had been treated sequentially with cefpodoxime, amoxicillin, cefixime, and...
Monitoring brain function with aEEG in term asphyxiated infants before and during cooling.
The amplitude integrated EEG (aEEG) is a time-compressed EEG trend, created with the aim of providing continuous and easily assessable information on brain activity in intensive-care treated patients (1). The method is increasingly used in neonatal units around the world, since several studies have shown the method's utility in infants with various severe conditions and because many neonatologists consider the immediately available information about infants' brain function clinically relevant and useful. Th...
Physiologic parameters after non-pharmacologic analgesia in preterm infants: a randomized trial.
AIM: To compare the influence of three different non-pharmacologic interventions on cortical activation, heart rate and peripheral oxygen saturation (SaO2 ) after heelstick in preterm infants. METHODS: 25 preterm infants between 24 0/7 and 32 0/7 weeks of gestational age were randomized to either oral sucrose (S), facilitated tucking (FT) or a combination of the two interventions (SFT) prior to five heelsticks each within the first 14 days of life. SaO2 , heart rate and oxygenation of the somatosensory cort...
AIM: To determine the incidence and potential novel risk factors for catheter-associated bloodstream infections (CABSI) in neonates. METHODS: A retrospective study was conducted for infants admitted to the VU University Medical Center neonatal intensive care unit in 2007. RESULTS: One hundred and ninety six infants with a total of 369 central catheters were included. The CABSI rate was 18.1 infections/1000 catheter-days (95% CI 13.7-23.8) according to adjusted criteria used by the Centers for Disease Contro...
Feasibility of exclusive enteral feeds from birth in VLBW infants >1200 g - an RCT.
AIM: To evaluate the feasibility of initiation of exclusive enteral feeds on first day of life in very low birthweight infants >1200 g. METHODS: Haemodynamically stable infants with birthweights 1200-1500 g irrespective of gestational age were randomized into two groups. Study group: Enteral feeds 80 mL/kg/day started within 1 h of birth and increased by 20 mL/kg/day to 180 mL/kg/day. No intravenous fluids given. Control group: Intravenous fluids 50 mL/kg/day started along with enteral feeds 30 mL/k...
Maternal Smoking Modulates Fatty Acid Profile of Breast Milk.
AIM: We hypothesized that the fatty acid composition of breast milk can be affected by a smoking habit in the mother. Consequently, this study verified whether maternal smoking modulates, and if so to what extent, the breast milk fatty acid profile. METHODS: The study included 20 postpartum women who declared smoking more than five cigarettes daily throughout a period of pregnancy and lactation, and 136 non-smoking postpartum women. Breast milk samples were collected between the 17(th) and the 30(th) day af...
AIM: Hemodynamically significant patent ductus arteriosus (hsPDA) is frequently observed in premature infants. This study was conducted to explore whether the blood BNP can be a valuable biomarker to assess the necessity of treatment for hsPDA in premature infants. METHODS: Serial measurements of the blood BNP were performed during the first 5 days of life in premature infants with hsPDA (Group I) and those without hsPDA (Group N). The definition of the hsPDA was the PDA requiring treatment, such as indomet...
Bench top accuracy of SiPAP generated nasal intermittent positive pressure ventilation (NIPPV).
Neonatal Nasal Intermittent Positive Pressure Ventilation (NIPPV) is an established mode of non-invasive respiratory support for preterm infants. NIPPV can be generated by standard ventilators, although none currently offer synchronised NIPPV (sNIPPV), which has been shown to have benefits over continuous positive airway pressure (CPAP)(1). The specialised flow driver - SiPAP (Care Fusion, Dublin, OH, USA), offers CPAP, and both synchronised and non-synchronised NIPPV (nsNIPPV). The SiPAP uses an air and sp...
AIM: To determine the incidence rate and characteristics in patients with testicular torsion in Taiwan using a nationwide insurance database. METHODS: This study utilizes a subset of National Health Insurance Research Database, which contains the data of all paid medical benefit claims over the period 1997-2010 for in 1,000,000 beneficiaries in 2005. We analyzed claims data for all male subjects younger than 25 years with the diagnosis of testicular torsion. RESULTS: A total of 86 subjects younger than 25 y...
AIM: Both hypothermia and central nervous system (CNS) drugs may alter the predictive accuracy of amplitude-integrated electroencephalography (aEEG) in hypoxic-ischaemic encephalopathy (HIE). The aim was to assess the predictive value of aEEG in hypothermia-treated HIE infants. Furthermore, we intended to investigate the association of cumulative doses of CNS drugs with aEEG recovery. METHODS: Seventy term HIE infants treated with hypothermia for 72 h were continuously monitored by single-channel aEEG. Dos...
AIM: To explore a less invasive way of assessing preload in neonates than fitting catheters to measure central venous pressure (CVP). This study evaluated the relationship between inferior vena cava (IVC) measurements and gestational age (GA) or body weight (BW) in term and premature infants and the correlation between those measurements and CVP in sick infants under mechanical ventilation. METHODS: We studied 57 clinically stable infants, together with14 sick infants fitted with central venous catheters to...
AIM: To determine radiological and clinical chest radiographs interpretation agreement in children with acute respiratory disease versus clinical experience in multiple observers. METHODS: Chest radiographs obtained in 70 consecutive children at the emergency department in 2010-2011 for acute respiratory disease were reviewed. They were interpreted by 1 to 10 pediatric residents, 3 board certified pediatricians, 3 pediatric pulmonologists, and 1 pediatric radiologist. Chest radiographs were analyzed for pre...
Fetal And Childhood Growth And Asthma In Adult Life.
AIM: Recent research suggests that asthma may originate through defects in the airways epithelium, acquired in utero, and an altered response to infections after birth. Here we examine whether asthma in adult life is associated with reduced body size at birth, and poor living conditions in childhood. METHODS: We studied 658 people taking medication for asthma in a cohort of 13345 men and women born in Helsinki, Finland during 1934-44. Their body and placental size at birth, and their living conditions and g...
Unaccompanied refugee children -vulnerability and agency.
The numbers of refugee adolescents that arrive in Europe without their families has increased in recent years, particularly in Sweden. Research has demonstrated that these children have high rates of mental health problems, particularly depression and post-traumatic stress disorder, during the first years after resettlement. Despite this, there are also indications that many of these unaccompanied children are resourceful and arrive with a clear vision of a positive future in the new country. Follow-up stud...
Infant feeding practices in the first 24 to 48 hours of life in healthy term infants.
AIM: To examine in-hospital infant feeding practices, focusing on initiation and prevalence of breast milk expression and to describe the proportion of women having a breast pump immediately after birth. METHODS: Postpartum women were recruited from three hospitals in Melbourne, Australia between 2009 and 2011. Inclusion criteria: having had a healthy singleton term infant, intending to breastfeed and fluency in English. Data were collected using a structured questionnaire. RESULTS: Just over 1000 women wer...
AIM: To determine whether treatment for mild hip dysplasia instigated in the newborn period was preferred over a delayed treatment by the parents, as delayed treatment for mild hip dysplasia detected in newborns is an acceptable, medical policy. METHODS: During a study period of 16 months from 2010 to 2011, parents attending the paediatric radiology out-patient clinic at Haukeland University Hospital for a follow-up of their baby with developmental dysplasia of the hip (DDH), were invited to fill in a quest...
AIM: To estimate if and when children dying from a malignancy are recognized as being beyond cure, and to study patterns of care the last weeks of life. METHODS: A nationwide retrospective medical record review was conducted. Medical records of 95 children (60% of eligible children) who died from a malignancy 2007-2009 in Sweden were studied. RESULTS: 83 children (87%) were treated without curative intent at the time of death. Children with hematological malignancies were less likely to be recognized as bei...
AIM: The overall aim of the study was to assess the psychometric properties of the revised Diabetes Family Conflict Scale (DFCS), in a Swedish sample of children, mothers and fathers. A second aim was to analyze maternal and paternal effects separately. METHOD: 159 families from two diabetes centres participated in the study. The revised DFCS were administered to children aged 8-18 years and their parents. Internal consistency of the scale was measured with Cronbach alfa and its concurrent validity was eval...
Uncoupling protein-2 gene polymorphisms are associated with obesity in Hungarian children.
AIM: To determine the frequency of common polymorphisms of genes associated with energy metabolism among normal weight and overweight/obese children to look for effects on childhood obesity. METHODS: Among 709 overweight/obese and 637 normal weight children (age 6-17 years), anthropometric measurements were carried out and genotyping for the following gene polymorphisms: β(3) -adrenoreceptor Trp64Arg, uncoupling protein (UCP) -1 -3826 A/G, UCP-2 -866 G/A and exon 8 del/ins, UCP-3 -55 C/T and peroxisome p...
